• Evans Arranges New SNF Lease

    Evans Senior Investments arranged a new lease for a skilled nursing facility in Denver, Colorado, securing a 293% increase in rent on a per-bed, per-month basis in the process. At the time of marketing, the facility was 62% occupied with minimal Medicare Part A referrals. However, the 1960s-built facility has 16 private units and is proximate to... Read More »
  • Cross River Bank Closes Large Acquisition Loan

    Cross River Bank recently closed a large acquisition loan for a portfolio of seven skilled nursing facilities and one assisted living community in Georgia, Tennessee and Missouri. Raina Yoo was the Loan Officer on the transaction. The portfolio features a total of 1,339 licensed beds, and occupancy stood at 88%, overall.  Read More »
  • Local Operator Closes Lease-to-Purchase Deal

    A skilled nursing facility in Mississippi faced a time-sensitive CHOW with frozen Medicaid rates under appeal after the outgoing operator was planning to leave before the ownership transfer occurred, posing meaningful risk to the facility’s financial performance and operational continuity. The facility was older and around 50% occupied at the... Read More »
  • Mainstay Senior Living Grows in Georgia

    Mainstay Senior Living acquired two seniors housing communities in Savannah, Georgia. The properties are located about five miles apart from each other. Grace Manor Savannah was built in 1997, while Habersham Manor was built in the late-1980s. They feature a total of 143 assisted living and memory care units. Florida-based Mainstay now has 46... Read More »
  • Private Equity Firm Divests Portfolio to Chicago Investor

    Trinity Investors, a Texas-based private equity firm, sold a 224-unit portfolio of three seniors housing communities in Alabama that it acquired in tranches between 2022 and 2023 with a regional owner/operator. After the portfolio stabilized and capital was injected into the communities, Trinity recapitalized the venture in March 2025 with... Read More »
HHS and CMS Appointments

HHS and CMS Appointments

It could be a turbulent year for SNF valuations in 2017. After the election….that one….we thought we might be in for a wild ride with the unpredictable Donald Trump taking over. Healthcare M&A, which had slowed down a bit this year, seemed to be picking up, and interest in our products spiked after the election, which is always a telltale sign. But with yesterday’s announcements of the new heads of HHS and CMS, the ride could get a little wilder. By naming Tom Price to run Health and Human Services, one of the more anti-ObamaCare members of Congress and a physician to boot, you know what is going to happen. And apparently, he has been opposed to the rush to value-based Medicare... Read More »
HHS and CMS Appointments

Being Thankful For What I Do

Happy Thanksgiving to all! So here we are, on Thanksgiving Eve. And what do I have to be thankful for? Besides my family, friends and co-workers, I am very thankful that I made the decision 30 years ago to get involved in the seniors housing and care business. It has been quite the ride, and for those of you who have been around a long time and remember, I am glad I took my last skilled nursing facility listing more than 22 years ago. I never sold it, but Mark Davis of Healthcare Transactions Group took over the sale for us when we exited the brokerage business in the early 1990s, and got the deal done. Since then, I have really enjoyed what I do, writing about what is happening with... Read More »
HHS and CMS Appointments

Cap Rates and Interest Rates

With the recent jump in interest rates, cap rates have no where to go but up. Since the end of September, the 10-year Treasury note has increased by 60 basis points, or 38%, to 2.22% yesterday. More than half of that increase occurred after the results of the presidential election. It seems that Trump’s pro-business reputation is making investors believe that increased infrastructure spending and economic growth will soon be upon us, followed by inflation. It doesn’t usually happen that fast. That said, with the recent jump in rates, it is almost a certainty that the Fed will increase short-term rates within a month. And there is now talk of further rate increases next year. So what does... Read More »
Kindred Healthcare Plunges

Kindred Healthcare Plunges

Exiting the SNF business, Kindred’s decision is just part of a national transformation of the sector that started a year ago. And I thought last week was a tough one. When Kindred Healthcare released its third quarter earnings on Monday night, I knew it would open significantly down, but 33% down? The company has decided to exit the skilled nursing sector – sound familiar? This was a bit surprising because even though they had already gone from 300 SNFs to around 92 today, I assumed the remaining facilities were the best ones, and in the markets close to its LTACs, rehab hospitals and home health services. That was the entire theory around being the post-acute provider of choice in... Read More »
Brookdale Senior Living Disappoints Again

Brookdale Senior Living Disappoints Again

Brookdale Senior Living’s stock price plunged 20% on disappointing third quarter news….and forecasts. My, my, my. Brookdale Senior Living just doesn’t seem to be able to get a break. Despite having a 40 basis point increase in same-community occupancy from the second quarter, which beat the market as a whole, problems continue. They are seeing new properties having a big impact on their secondary market properties, they revised downward full year 2016 forecasts, former employees are soliciting staff and customer leads, and Dan Decker has decided to become even more involved, becoming Executive Chairman as opposed to Chairman of the Board. On top of all of this, they are forming... Read More »
Brookdale Senior Living Disappoints Again

Values in the Seniors Housing and Care M&A Market Jump

For the four quarters ended September 30, average prices in the independent living market have increased, as have assisted living prices and skilled nursing prices. The seniors housing and care M&A market has seen less activity this year than in recent years, but that doesn’t mean buyers are not paying up for the assets they want. The best example is in the independent living market, where the average price paid in the four quarters ended September 30 was $234,000 per unit, or 21% higher than in calendar year 2015. The average cap rate remained steady at 7.0%. Assisted living prices have risen as well, jumping a smaller 5% for the past four quarters compared with 2015 to an average... Read More »